HCPCS L5637
Addition to lower extremity, below knee, total contact
Current codeBelow Knee Orthotic25 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $357 – $393 | $186 | $465 |
| Deaconess Medical Center | $357 – $393 | $186 | $465 |
| EvergreenHealth Medical Center | $364 – $377 | $892 | $1,115 |
| Harborview Medical Center | $364 – $401 | $441 – $446 | $631 – $638 |
| Kadlec Regional Medical Center | $364 – $437 | — | — |
| Mary Bridge Children's Hospital | $357 – $393 | $186 | $465 |
| MultiCare Auburn Medical Center | $357 – $393 | $186 | $465 |
| MultiCare Covington Medical Center | $357 – $393 | $186 | $465 |
| MultiCare Good Samaritan Hospital | $357 – $393 | $186 | $465 |
| MultiCare Valley Hospital | $368 – $393 | $186 | $465 |
| Overlake Hospital Medical Center & Clinics | $364 – $379 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $364 – $437 | — | — |
| Providence Centralia Hospital | $364 – $583 | — | — |
| Providence Regional Medical Center Everett | $364 – $401 | — | — |
| Providence St Peter Hospital | $364 – $583 | — | — |
| Seattle Children's Hospital | — | $1,104 | $1,104 |
| Swedish Edmonds Hospital | $364 – $437 | — | — |
| Swedish Issaquah | $364 – $437 | $483 | $1,007 |
| Swedish Medical Center | $364 – $437 | $483 | $1,007 |
| Swedish Medical Center / Cherry Hill | $364 – $437 | $483 | $1,007 |
| Tacoma General Allenmore Hospital | $357 – $393 | $186 | $465 |
| University of Washington Medical Ctr | $364 – $401 | $691 | $986 |
| Virginia Mason Medical Center | $250 – $375 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $357 – $400 | — | — |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Equipment fee, Washington
- $364 (fee)